title: Acute respiratory distress syndrome caused by methadone syrup.
abstract: Acute respiratory distress syndrome (ARDS) due to methadone (MTD) toxicity is a known but rather uncommon phenomenon. In most of the previously reported cases of MTD-related ARDS, MTD was ingested orally in the form of tablets in high or unknown amounts. Despite the findings from the available literature, this case report is aimed at demonstrating that even small amounts of MTD syrup can cause ARDS earlier than it is usually expected. We present a non-addicted MTD-overdosed patient who developed ARDS after ingesting a very small amount of MTD syrup. We suggest close monitoring of MTD-overdosed patients from at least 48 h to 72 h for possible respiratory complications such as pulmonary oedema.
authors.forename: Abbas
authors.initials: A
authors.lastname: Aghabiklooei
authors.forename: Shahin
authors.initials: S
authors.lastname: Shadnia
authors.forename: Hossein
authors.initials: H
authors.lastname: Hassanian-Moghaddam
authors.forename: Nasim
authors.initials: N
authors.lastname: Zamani
mesh_terms: D000284:Administration, Oral; D000328:Adult; D003128:Coma / Q000139:chemically induced; D004339:Drug Compounding; D062787:Drug Overdose / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000008:administration & dosage / Q000506:poisoning*; D009270:Naloxone / Q000627:therapeutic use; D009292:Narcotic Antagonists / Q000627:therapeutic use; D012128:Respiratory Distress Syndrome / Q000139:chemically induced*
chemical_list: D009292:Narcotic Antagonists; D009270:Naloxone; D008691:Methadone